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Patient groups file suit to end policy that prohibits copay assistance from counting toward patients’ out-of-pocket spending

Aug 30, 2022

The HIV+Hepatitis Policy Insite, the Diabetes Leadership Council, and the Diabetes Patient Advocacy Coalition filed suit in the U.S. District Court for the District of Columbia challenging a federal rule that allows health insurers and pharmacy benefits managers to avoid counting drug manufacturer copay assistance toward patients’ out-of-pocket cost obligations. Due to increased deductibles and cost-sharing requirements, patients rely on copay assistance to help them afford their #Rx.

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CDC data shows only one-third of people diagnosed with hepatitis C access treatment

Aug 9, 2022

Today, the Centers for Disease Control and Prevention (CDC) released disturbing data that shows that only one-third of people diagnosed with hepatitis C who have healthcare coverage are being treated with curative medications within one year of diagnosis. “Despite having health coverage and cost-effective drugs that can cure hepatitis C in as little as 8-12 weeks, our healthcare system is failing to provide the treatment people with hepatitis C need and is required to end this potentially deadly infectious disease,” commented Carl Schmid, executive director of the HIV+Hepatitis Policy Institute.

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Senate Appropriations leadership proposes significant increases for domestic HIV programs

Jul 28, 2022

The leadership of the United States Senate Appropriations Committee is proposing to significantly increase funding to continue to ramp up efforts to end HIV in the United States.  The Senate bills include increased funding for the Ending the HIV Epidemic in the U.S. initiative by at least $240 million for domestic HIV testing, prevention, treatment, and research programs. While it is not as much as proposed in President Biden’s budget, in some instances it is more than what was proposed by the House.

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Insurers warned that excessive utilization management of prescription drugs is potentially discriminatory

Jul 26, 2022

As part of the Biden administration’s proposed rule to implement the Affordable Care Act’s nondiscrimination provisions, excessive use of utilization management for prescription drugs, including prior authorization, step therapy, and durational or quantity limits could be deemed discriminatory. Additionally, the proposed rule adds back protections that prohibit insurers and other health programs from engaging in marketing practices and benefit design that discriminate on the basis of certain conditions, including disability. 

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House proposes funding increases for domestic HIV programs

Jun 23, 2022

The U.S. House of Representatives Labor, HHS Appropriations Subcommittee is proposing to increase funding to continue to ramp up efforts to end HIV in the United States. However, it fails to include a national program to increase access to PrEP, which are medications that prevent HIV.  In addition to an increase of $225 million for domestic HIV testing, prevention, and treatment programs as part of the Ending the HIV Epidemic initiative, the FY23 Labor, HHS appropriations bill is proposing a $75 million increase to the Ryan White HIV/AIDS Program and $200 million more for NIH AIDS Research.

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